BRANDON DANIEL FRYE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000976

License Status

NOT RENEWED

Business

Title

First Name

BRANDON

Middle

DANIEL

Last Name

FRYE

Business Name

BRANDON DANIEL FRYE DO

Original Issue Date

12/30/2013

Effective Date

12/30/2013

Expiration Date

03/29/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/12/2014